Campers — St. Philip's Episcopal Church

Please complete the form below for campers

Name

First Name

Last Name

Email

Date of Birth

MM

DD

YYYY

School Grade Completed by May

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Shirt Size

Emergency Contact

First Name

Last Name

Phone

(###)

###

####

Allergies or other medical conditions

Church Affiliation